Annales françaises d'anesthèsie et de rèanimation
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Ann Fr Anesth Reanim · Sep 2012
Case Reports[Pulmonary embolism and intracranial hemorrhage: is there still an indication for a caval filter placement?].
The treatment of pulmonary embolism is mainly based on anticoagulants and intravenous thrombolysis in case of collapse. The cerebral hemorrhage is the main complication of thrombolysis and contraindicates anticoagulation. ⋯ The patient had persistent respiratory and hemodynamic instability related to the pursuit of embolic phenomena. The implementation of a cava filter was performed and the patient had a favorable outcome.
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Ann Fr Anesth Reanim · Sep 2012
[French national survey on remifentanil utilisation for obstetrical peridural analgesia].
The last French survey on alternatives to neuraxial anaesthesia for labour pain was published in 1997. However, intravenous remifentanil has become increasingly used as an option for labour analgesia. We evaluated the use of remifentanil as an alternative to epidural analgesia in level 2 and 3 French maternities in 2009. ⋯ Intravenous administration of remifentanil was largely reported as an alternative to neuraxial anaesthesia for labour pain. Although remifentanil administration was most often based on a local written protocol, bolus dose and background infusion varied widely between maternity units.